Healthcare Provider Details

I. General information

NPI: 1821116005
Provider Name (Legal Business Name): LANCASTER CONTACT LENS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 EDEN RD
LANCASTER PA
17601-4712
US

IV. Provider business mailing address

700 EDEN RD
LANCASTER PA
17601-4712
US

V. Phone/Fax

Practice location:
  • Phone: 717-569-7386
  • Fax: 717-560-7531
Mailing address:
  • Phone: 717-569-7386
  • Fax: 717-560-7531

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License NumberOEG000298
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code156FC0801X
TaxonomyContact Lens Fitter
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code156FX1700X
TaxonomyOcularist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: DR. DOMINIC C SIVIGLIA
Title or Position: PRESIDENT CEO
Credential: PH.D.
Phone: 717-569-7386